An imported case of acute pulmonary coccidioidomycosis in an Italian traveller.
Infection
; 42(5): 921-4, 2014 Oct.
Article
in En
| MEDLINE
| ID: mdl-24771415
ABSTRACT
Coccidioidomycosis is a fungal infection caused by the Coccidioides species, which is endemic in the deserts of the southwestern region of the United States, northern Mexico, and in some areas of Central and South America. We describe a case of pulmonary coccidioidomycosis in a 49-year-old Italian man who came to our hospital with fever and joint and muscle pain 10 days after his return to Italy from Venezuela. Computer Tomography revealed multiple bilateral pulmonary nodules with mediastinal lymphadenopathy. Pulmonary coccidioidomycosis was diagnosed by a serological test, and fluconazole was immediately started. The patient improved within 2 weeks, with complete clinical recovery after 6 months of therapy. This case appears to be part of a large serologically unconfirmed outbreak. In order to provide early diagnosis and treatment, healthcare providers should be aware of coccidioidomycosis, even in travellers returning home from short trips to endemic areas.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Fluconazole
/
Coccidioides
/
Coccidioidomycosis
/
Lung Diseases, Fungal
/
Antifungal Agents
Type of study:
Diagnostic_studies
/
Screening_studies
Limits:
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
Infection
Year:
2014
Document type:
Article